Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PRIME HEALTHCARE SERVICES - SAINT CLARE'S LLC

NPI: 1497134274 · DENVILLE, NJ 07834 · General Acute Care Hospital · NPI assigned 05/26/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DOAN, CHRISTOPHER controls 20+ related entities in our dataset. Read more

$700K
Total Medicaid Paid
19,078
Total Claims
15,389
Beneficiaries
20
Codes Billed
2018-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialDOAN, CHRISTOPHER (MANAGING ASSOCIATE GENERAL COUNSEL)
NPI Enumeration Date05/26/2015

Related Entities

Other providers sharing the same authorized official: DOAN, CHRISTOPHER

ProviderCityStateTotal Paid
DESERT VALLEY HOSPITAL, LLC VICTORVILLE CA $92.81M
PRIME HEALTHCARE SERVICES - ST MICHAELS LLC NEWARK NJ $67.67M
PRIME HEALTHCARE CENTINELA, LLC INGLEWOOD CA $50.16M
NORTH VISTA HOSPITAL LLC NORTH LAS VEGAS NV $31.56M
PRIME HEALTHCARE SERVICES - ST FRANCIS LLC LYNWOOD CA $27.65M
PRIME HEALTHCARE SERVICES LANDMARK LLC WOONSOCKET RI $26.18M
PRIME HEALTHCARE FOUNDATION - SOUTHERN REGIONAL, LLC RIVERDALE GA $25.96M
PRIME HEALTHCARE SERVICES - SHASTA LLC REDDING CA $22.75M
THE CITY HOSPITAL ASSOCIATION EAST LIVERPOOL OH $16.46M
PRIME HEALTHCARE SERVICES - RENO LLC RENO NV $15.09M
VERITAS HEALTH SERVICES, LLC CHINO CA $14.93M
PRIME HEALTHCARE PARADISE VALLEY LLC CHULA VISTA CA $13.85M
PRIME HEALTHCARE FOUNDATION - COSHOCTON, LLC COSHOCTON OH $13.32M
PRIME HEALTHCARE PARADISE VALLEY LLC NATIONAL CITY CA $12.56M
ALVARADO HOSPITAL, LLC SAN DIEGO CA $11.46M
PRIME HEALTHCARE SERVICES - MONTCLAIR, LLC MONTCLAIR CA $11.26M
PRIME HEALTHCARE SERVICES BLUE SPRINGS, LLC BLUE SPRINGS MO $10.51M
PRIME HEALTHCARE SERVICES LOWER BUCKS LLC BRISTOL PA $8.71M
PRIME HEALTHCARE SERVICES - GARDEN GROVE LLC GARDEN GROVE CA $6.67M
PRIME HEALTHCARE SERVICES-LEHIGH ACRES LLC LEHIGH ACRES FL $5.64M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,996 $240K
2019 4,554 $164K
2020 3,477 $125K
2021 1,863 $78K
2022 1,959 $59K
2023 1,229 $34K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,701 3,527 $229K
99222 Initial hospital care, per day, moderate complexity 3,282 3,183 $183K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,307 1,024 $55K
99232 Subsequent hospital care, per day, moderate complexity 1,036 824 $35K
99233 Prolong inpt eval add15 m 804 677 $35K
99223 Prolong inpt eval add15 m 343 336 $28K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,782 1,473 $27K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 762 630 $24K
76819 Fetal biophysical profile; without non-stress testing 776 646 $22K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 199 194 $14K
59430 257 241 $12K
99221 225 216 $8K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,986 1,867 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 137 137 $7K
99239 Hospital discharge day management, more than 30 minutes 132 131 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 66 66 $5K
76813 37 36 $1K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 14 13 $350.18
0503F 34 32 $0.00
0502F 198 136 $0.00